PROFESSIONAL AFFILIATE

Membership Term: April 1 - March 31

PROFESSIONAL AFFILIATE MEMBERSHIP (non-voting):

Is open to an individual who:

a) is a professional with an interest in psychology (such professionals may include, but are not limited to, social workers, school counsellors, mental health therapists, medical professionals, and clergy); and

b) is of good character and reputation, and

c) pays the prescribed dues.

Procedure:

An application form should be completed and forwarded to the Psychologists' Association of Alberta.

Applications must be accompanied by a recent criminal record check (within the last 6 months). Criminal record checks are only accepted if they are provided by a police agency (we do not accept criminal record checks processed by private companies).

The Psychologists' Association of Alberta subscribes to A Canadian Code of Ethics for Psychologists, (Third Edition, Revised 2000), Code of Professional Conduct, and Practice Guidelines for Providers for Psychological Services.

Have you ever been required to withdraw from membership in a Psychological Association or any other professional association or at any time been convicted of a felony, sanctioned by any professional ethics body or other regulatory body or by any professional or scientific organization? (If yes, please provide details)

REQUIRED DOCUMENTS

Criminal Record Check:

In making this application, I subscribe to and will support the objectives of the Psychologists' Association of Alberta and to A Canadian Code of Ethics for Psychologists (Revised 2000), Code of Professional Conduct, and Practice Guidelines for Providers for Psychological Services, although I recognize I am not a psychologist, nor may I present myself as one or use my status with the Psychologists' Association of Alberta to misrepresent my professional standing. I affirm that the statements made in this application correctly represents my qualifications for election, and understand that if they do not, my Professional Affiliate Status may be voided.

IMPORTANT INFORMATION!

Personal Information Protection

When you apply for membership with PAA, we collect personal information such as your name, address, phone numbers (business/home/fax), email address, CAP registration #, Highest Degree earned and Birthdate and use it to:

Confirm your identity

Establish membership with PAA

Provide ongoing member services and communications

Determine eligibility for life membership through birthdate information

From time to time the PAA provides mailing lists to advertisers. Before advertisers are given access to a PAA mailing list, they are required to provide information on the proposed mailing and to agree that if permission to use the list is granted, that it will be used for a single mailing only.

Please check the applicable box below. If you check the box whereby you do not want to be included in non-PAA communications, your name will not be given out and will only be used for mailings coming out of our office. This may, however, cause you to miss some information about non-PAA workshops and conferences, goods and services available for PAA members, as these are the types of information that may be mailed to you.

If we do not receive a response from you, we will automatically assume that you do not wish to receive external communications. Your records will continue to indicate the choice made until such time as you advise us in writing to either remove your name from the external mailing lists or alternatively, until you provide your consent to add your name to the external mailing lists.

Please do not include me in PAA mailing lists for non-PAA communications.Yes, I wish to be included in PAA mailing lists for non-PAA communications and give my consent to provide my mailing information.

PAA Newsletter - Psymposium

The PAA newsletter, Psymposium, is published three times per year (April, August and December). Psymposium is available online on our website. Would you like to choose to read Psymposium online rather than receive a paper copy? If you would prefer to read Psymposium online, we will contact you by email advising you when the most current copy of Psymposium has been posted. Please indicate your choice below.

** Membership year runs from April 1 through March 31. After May 1st there are pro-rated fees available to new members only.

TOTAL: $32.00 (Pro-rated)

TOTAL: $58.25 (Pro-rated)

PAA WEBSITE REGISTRATIONPlease enter a username and password for accessing the PAA website:

Username

Password

NOTE: When you click on 'Submit Application', Your application will be sent to PAA Admin. Once approved, you will be able to sign in and pay for your membership. Once your payment has been received, your registration will be complete and you will receive your Membership Number.